21590_BREITLING, WILLIAM_19990419

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CAMA AND DREDGE AND FILL r
GENERAL N't 021590 roof
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 1,1Y ' Vi(''
Applicant Name LjlJ .L�A,_A _3?1 r_ I r6F _ Phone Number '16
Address
City State F,-N Zip 19�i Z 7
Project Location (County, State Road, Water Body, etc.) `' =' TL) 71?'1?%tw
Type of Project Activity _ '�� �• w, ,. \ tc� c , . x 4-4 rT .
PROJECT DESCRIPTION I SKETCH (SCALE: s,�Ni )
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
Lo • _ T tt. ~'mot r.
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
.l
applicant's signature
permit officer's signature
issuing date expiration date
attachments jo
application fee

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FROM : KEJKH COLLEGE PHONE NO. Hpr. 09 1999 10:51HM F1
ADJACENT RIPARIAN PROPERTY OWNER STAUAffNT
(FOR A. PIER/MOORING MUNOS/BOATUMBOATHOUSE)
I hereby certify that I own property adjacent to WW/lt, m g-SflA�fed
(Name of Property Owner)
property located at 9'qV &"v C'V
(Lot, Block, Road,
#;?
an—g".i&y in �R/EN %9 �. , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') fzom my area
of riparian access unless waived by me.
— I da nof wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCItEMON AND/OR DRAWING OF PROPOSED DEVELOPMWNT:
(To be filled in by indivuival proposing development)
SRO wN
/r fro.
L.07-Z
REST -I W
�aT 3 I
LD74
Hel-r. HRL-L
Signature
Print or Type Name
- h4y 3?-4-3
Telephone Number
Date: 3 - � 0 — / 1

FRO111 KEJVA COLLEGE PHONE N0. Fpr. 09 1999 10:4 Ah1 F1
ADJACENT RIPARIAN PROPERTY OWNER STATEMTNNT
(FOR A PIERIMOORING PILINGSIBOATUIT/BOATHOUSE)
I hereby certify that I own property adjacent to W'/I AI V-.SYAAM �R�i�� •iya 's
(Name of Property Owner)
property located at 8AP jV'v CR
#R
/n� ��^^ "" (Lot, Block}}, Road, etc.)
LI1
on F' A641 �YE�,�c , lr1 f//P/XN TAs- , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/mooring
pilingsiboatlift/boathous-- must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I don wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AID/OR DRAWING OF PROPOSED DEVELOMIENT:
(To be jMed in by individual proposing development)
BROWN c4ew
ra
'.orz c.or-+
T,uruy 4o-r.3
HIETr- fI�LL
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lure
a, vT A rz
Print or Type Name
T ephone Number
Date:Lii g